Dr. James Detherage, MD
617 23rd St Ste 212, Ashland, KY 41101 • +1-753-555-7537
Medical Education: Accredited U.S. Medical School (Class of 1994)
What This Doctor Actually Performs: CMS Medicare Utilization & Ashland Percentiles
NPI #1881608867 • CBSA Regional • Family Practice
Within the Ashland, KY (CBSA local) Family Practice cohort, Dr. James Detherage, MD with sub-specialty concentration in 25 Active CMS HCPCS Codes ranks at the 42.86th municipal percentile and 46.39th KY percentile (-0.37σ Z-score) based on 1,305 billed procedures for 459 patients.
Fee-schedule auditing of NPI 1881608867 highlights 536 annual claims for 99214 (42.86th Ashland percentile; $115–$157 self-pay corridor) plus 396 encounters under 99213 and 153 under G0439.
Cash-pay intake data for NPI 1881608867 (617 23rd St Ste 212, Ashland) indicates $209.00 typical out-of-pocket visit spend against a $209.00 locality benchmark, paired with 11-minute average reception wait and 4.57/5 biomarker openness.
From 617 23rd St Ste 212 in Ashland (+1-753-555-7537), Dr. Detherage, MD (32-year clinical track record) delivers 25 Active CMS HCPCS Codes care.
Compared against Ashland, KY Family Practice peers
1,305 annual services across 459 beneficiaries
Standard deviations from KY Family Practice mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Comprehensive Primary Care & Chronic Protocol Management | 536 | 42.86th | $115 – $157 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 396 | 47.86th | $88 – $120 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 153 | 40.86th | $132 – $181 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 115 | 43.86th | $25 – $40 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 77 | 41.86th | $158 – $216 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (25 HCPCS billing breadth) | 28 | 42.86th | $104 – $151 |
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Dr. James Detherage, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Detherage National Provider Identifier | NPI #1881608867 (MD) | CMS NPPES Registry (41101) |
| Dr. Detherage Ashland CMS Volume Rank | 42.86th Pct (1,305 CMS svcs; Z -0.367σ) | CMS Medicare Part B (KY Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Ashland, KY) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 11 min lobby wait | 17 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.86/5 Listening • 4.57/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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